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Bupa HI Pty Ltd

Basic Plus Active Saver

$153.05 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

You may be entitled to an Australian Government Rebate on the above premium. Your premium may also include a Lifetime Health Cover Loading, an Age-based Discount or an insurer discount. Check with your insurer for details.

This policy covers: Only one person.

This policy exempts you from the Medicare Levy Surcharge.
This policy provides accident cover - check with insurer for details.
This policy provides benefits for travel or accommodation outside of hospital - check with insurer for details.

Policy ID: BUP/J6/NBHS10 Source: Private Health Information Statement (PHIS)

Hospital Cover

Covered

Restricted Cover

Not Covered

This policy includes cover for

Dental surgery

Gynaecology

Hernia and appendix

Hospital psychiatric services

Joint reconstructions

Miscarriage and termination of pregnancy

Palliative care

Podiatric surgery (provided by a registered podiatric surgeon)

Rehabilitation

Tonsils, adenoids and grommets

This policy does not include cover for

Assisted reproductive services

Back, neck and spine

Blood

Bone, joint and muscle

Brain and nervous system

Breast surgery (medically necessary)

Cataracts

Chemotherapy, radiotherapy and immunotherapy for cancer

Diabetes management (excluding insulin pumps)

Dialysis for chronic kidney failure

Digestive system

Ear, nose and throat

Eye (not cataracts)

Gastrointestinal endoscopy

Heart and vascular system

Implantation of hearing devices

Insulin pumps

Joint replacements

Kidney and bladder

Lung and chest

Male reproductive system

Pain management

Pain management with device

Plastic and reconstructive surgery (medically necessary)

Pregnancy and birth

Skin

Sleep studies

Weight loss surgery

The benefits paid for hospital treatment will depend on the type of cover you purchase and whether your fund has an agreement in place with the hospital in which you are treated. See ‘Agreement Hospitals’ on privatehealth.gov.au for which hospitals have arrangements with your insurer – https://privatehealth.gov.au/dynamic/agreementhospitals.

Under this policy, you may have to pay out-of-pocket costs above what you get from Medicare or your private health insurer. Before you go to hospital, you should ask your doctors, hospital and health insurer about any out-of-pocket costs that may apply to you.

The following payments may also apply for hospital admissions

Excess: No excess

Co-payments: Every time you go to hospital you will have to pay:

$100 per day for a shared room for overnight admissions - up to $500 per hospital stay
$100 per day for a private room for overnight admissions - up to $500 per hospital stay
$100 for day surgery (no overnight stay)

The following waiting periods for hospital admissions apply to new or upgrading members

Waiting periods:

2 months for palliative care, rehabilitation and hospital psychiatric treatments, even if pre-existing
12 months for other pre-existing conditions
2 months for all other treatments

Gap Cover

This provider offers 'known gap' or 'no gap' cover for medical bills for this product. The Medical Costs Finder (https://www.health.gov.au/resources/apps-and-tools/medical-costs-finder) lets you find out more about the cost of specialist medical services.

Other features of this hospital cover

Cover for limited hospital services to help protect you from the unexpected. For more details on the product contact Bupa.

We have agreements with a network of dental practitioners, chiros, physios & podiatrists across Australia called Members First providers. By using them, in most cases you’ll receive up to 60% back, up to your yearly limits. See http://www.bupa.com.au/find-a-provider.

Policy ID: BUP/J6/NBHS10 Source: Private Health Information Statement (PHIS)

Extras Cover

This policy includes General treatment (Extras) cover for

Note, for treatments marked with * : There is an overall combined yearly limit of $1000 on extras on this cover (sub-limits apply). Step down benefits apply after first 10 total services across Chiropractic and Osteopathy. Podiatry does not include Orthotics. Where applicable, benefits may be payable under Health Aids & Appliances. Dentures payable once every 3 years. Periodic oral examination (012), Scale & Clean (114), Fluoride treatment (121) payable once every 6 months. Major Dental, Endodontic and Orthodontic treatment is only covered if resulting from an accident requiring immediate medical attention sustained after joining this cover.

Treatment & waiting period (months)

Benefit limits per 12 months unless otherwise stated

Examples of maximum benefits

Acupuncture*

$1,000 per policy

combined limit for acupuncture, chinese medicine, chiropractic, dietetics/dietary advice, endodontic, exercise physiology, general dental, health management / healthy lifestyle, major dental, orthodontic, osteopathy, physiotherapy, podiatry, psychology & remedial massage

sub-limits apply

Initial visit: $16
Subsequent visit: $16

Chinese medicine*

$1,000 per policy

sub-limits apply

Initial visit: $17
Subsequent visit: $17

Chiropractic*

$1,000 per policy

sub-limits apply

Initial visit: $31.5
Subsequent visit: $21.5

Dietetics/dietary advice*

$1,000 per policy

sub-limits apply

Initial visit: $26
Subsequent visit: $20

Endodontic*

$1,000 per policy

sub-limits apply

Filling of one root canal: $85

Exercise physiology*

$1,000 per policy

sub-limits apply

Initial visit: $16
Subsequent visit: $16

General dental*

$1,000 per policy

sub-limits apply

Fluoride treatment: $16
Scale & clean: $50.5
Surgical tooth extraction: $62.6
Periodic oral examination: $24.5

Health management / Healthy lifestyle*

$1,000 per policy

sub-limits apply

Health management: 50% of charge

Major dental*

$1,000 per policy

sub-limits apply

Full crown veneered: $300

Orthodontic*

$1,000 per policy

sub-limits apply

Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge

Osteopathy*

$1,000 per policy

sub-limits apply

Initial visit: $38.5
Subsequent visit: $26.5

Physiotherapy*

$1,000 per policy

sub-limits apply

Initial visit: $34
Subsequent visit: $27

Podiatry*

$1,000 per policy

sub-limits apply

Initial visit: $22
Subsequent visit: $22

Psychology

$1,000 per policy

sub-limits apply

Initial visit: $78
Subsequent visit: $69.5

Remedial massage*

$1,000 per policy

sub-limits apply

Initial visit: $18.5
Subsequent visit: $18.5

Counselling and Psychology share a combined limit under Mental Health.

This policy does not include General treatment (Extras) cover for

Ante-natal/Post-natal classes

Audiology

Blood glucose monitors

Eye therapy (orthoptics)

Hearing aids

Home nursing

Non PBS pharmaceuticals

Occupational therapy

Optical

Orthotics (podiatric orthoses)

Speech therapy

Vaccinations

Ambulance cover

In NSW & ACT this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover: You are covered for the uncapped costs associated with emergency ambulance transport services (via air or road) including on-the-spot emergency attendances where the service is provided by a Bupa recognised ambulance service. The following ambulance services are recognised by Bupa: ACT Ambulance Service, Ambulance Service of NSW, Ambulance Victoria, Queensland Ambulance Service, South Australia Ambulance Service, St John Ambulance NT, St John Ambulance WA, and Ambulance Tasmania. If you are eligible to claim from another source, a benefit won’t be paid by Bupa.

For further information about this policy see: http://www.bupa.com.au/health-insurance/cover/ambulance

Insurer Details

Bupa HI Pty Ltd

Basic Plus Active Saver

$153.05 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

Call now 134 135 Sponsor link

Bupa HI Pty Ltd

http://www.bupa.com.au

134 135

Disclaimer: This document is not a Private Health Information Statement (PHIS), and it is not intended to replace that document. The details contained in the healthslips.com.au Policy Information was provided by the insurer to the Australian Government. It is intended as general information. It may not take into account your circumstances. For further information contact the insurer. Information used is Licensed from the Commonwealth of Australia under a Creative Commons 3.0 licence.Private Health Information Statement is available from the Private Health Insurance Ombudsman website at https://privatehealth.gov.au/dynamic/Premium/PHIS/BUP/J6/NBHS10